Lisa Jane St. Aubyn, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1243 Issued in KS

Practice address

13626 W 95TH St
Lenexa, KS 66215-3304

Phone

(913) 317-8821

Fax

(913) 541-8030

NPI assigned

Nov 15, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Lisa Jane Lillard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1326110933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153304",
            "telephone_number": "913-317-8821",
            "fax_number": "913-541-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13626 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153304",
            "telephone_number": "913-317-8821",
            "fax_number": "913-541-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. AUBYN",
        "first_name": "LISA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF KS",
            "identifier": "468229",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "31826014",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LILLARD",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mary Stanley, M.A. CCC SLP
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• Clinical Social Worker in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.